Thompson, Bart David
Thompson, Bart David is an sole proprietor health care provider with primary practice located at 2707 Louanna St , Midland MI 48640-4455. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thompson, Bart David can be contacted via phone (989) 835-5261.Contact Information
Primary practice address
2707 Louanna St
Midland MI 48640-4455
Phone: (989) 835-5261
Fax: (989) 832-2114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901014470 | Michigan |
Profile Details
| NPI number | 1013968528 |
|---|---|
| LBN Legal business name | Thompson, Bart David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013968528 | NPPES |
| Michigan | MEDICAID | 17559410051 |
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